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•� I' <br /> LEAGUE OF MINNESOTA CITIES INCIIRANr.F TRUeT <br /> C/o North Star Risk Services, Inc. <br /> 1401 West 76th Street - Suite 550 • <br /> Minneapolis, MN 55423 Add ; ^y � Invoice # 4100 <br /> � <br /> 11 prenuwm�payable on or before <br /> feotwe datr,of policy <br /> COUNT NO DATE <br /> 090 6/29/87 <br /> City of St. Anthony <br /> 3301 Silver Lake Road <br /> St. Anthony, MN 55418 INSURE <br /> INSURED , <br /> NAME out S <br /> PLEASE DETACH AND RETURN THIS PORTION WITH Y PAYMENT ENCLOSED <br /> COMPANY EFFECTIVE POLICY NUMBER DESCRIPTION AMOUNT <br /> DATE <br /> L.M.C.I .T. 6/1/87 MCM 8477-8 Minnesota Municipal Cov. - End. #1 $562.00 <br /> TOTAL DUE UPON RECEIPT $562.00 <br /> PLEASE CONTACT YOUR AGENT FOR A FULL EXPLANATION OF THESE CHARGES. <br /> Make checks payable to L.M.C.I.T. and mail to <br /> North Star Risk Services, Inc. at address above. RETAIN BOTTOM HALF FOR YOUR RECORDS <br />